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1255097978
MARIANA RICE
CHAMPAIGN, IL
NPI
1255097978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209021890)
Enumeration Date
2021-11-17
Last Update Date
2023-03-07
Business Address
MARIANA RICE
309 W CLARK ST
CHAMPAIGN, IL 61820-4637
Phone number: 217-398-9066
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Mailing Address
MARIANA RICE
309 W CLARK ST
CHAMPAIGN, IL 61820-4637
Phone number: 217-398-9066
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